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NPI Code Detail

MEDICARE: CHEMICAL ABUSE SERVICES AGENCY, INC.

MEDICARE: CHEMICAL ABUSE SERVICES AGENCY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencySA-0120CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225249162
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHEMICAL ABUSE SERVICES AGENCY, INC.
Provider Business Mailing Address
First Line : 690 ARCTIC ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06608-2008
Country : US
Telephone Number : 203-339-4112
Fax Number : 203-339-4115
Provider Business Practice Location Address
First Line : 426 EAST ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-5018
Country : US
Telephone Number : 203-495-7710
Fax Number : 203-495-7713
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ASHER DELERME
Credential : MS, LADC, CCS, CCDP
Telephone Number : 203-339-4112
Provider Enumeration Date : 05/24/2007
Last Update Date : 03/05/2015

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Directions to “CHEMICAL ABUSE SERVICES AGENCY, INC. ” Practice Location

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